[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-2-basic-medicine-016":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"基礎醫學","basic-medicine","基礎醫學(包括解剖學、生理學、病理學、藥理學、微生物學與免疫學)",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-113-2-基礎醫學-016","nurse-113-2-basic-medicine-016",113,2,16,"有關增強抗凝血作用，下列敘述何者正確？",{"A":15,"B":16,"C":17,"D":18},"巨噬細胞可吞噬凝血因子","主要靠抗凝血酶 III 的快速作用","活化腎臟合成的蛋白質 C","降低肝素與抗凝血酶的結合","A",null,[],"本題考點在於抗凝血機制中「移除已活化凝血因子」的路徑。依血液凝固調控原理，肝臟與網狀內皮系統的巨噬細胞（macrophage）會吞噬並清除血中已活化的凝血因子，避免凝血反應無限放大，屬增強抗凝血作用的一環，故選 A。B 錯：抗凝血酶 III（antithrombin III）單獨作用其實緩慢，是肝素（heparin）結合後才使其快速中和凝血酶，敘述剛好相反。C 錯：蛋白質 C（protein C）由肝臟合成、經凝血酶-血栓調節素複合體活化，並非腎臟合成。D 錯：肝素正是藉由「增加」與抗凝血酶的結合來加速抗凝，降低其結合只會減弱抗凝作用。","抗凝系統可分四路對比記：抗凝血酶 III（中和 IIa、Xa，靠 heparin 加速）、蛋白質 C\u002FS 系統（降解 Va、VIIIa）、組織因子路徑抑制物（TFPI），以及網狀內皮系統對活化因子的清除。本題落在最後一路，屬較冷門但確實存在的機轉，故 confidence 標 medium。臨床上肝硬化病人凝血因子清除與合成同時失衡，凝血功能評估要同時看 PT\u002FaPTT 與血小板。",[25,28,30,32],{"term":26,"count":27},"抗凝血機制",1,{"term":29,"count":27},"網狀內皮系統巨噬細胞清除",{"term":31,"count":27},"抗凝血酶 III",{"term":33,"count":27},"蛋白質 C",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-113-2-basic-medicine-017","下列何種生理調控現象，會使動脈壓上升？",17,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-114-1-basic-medicine-013","下列有關成人腰椎（lumbar vertebrae）的敘述，何者正確？",13,114,{"webId":45,"stem":46,"number":47,"year":43,"session":48},"nurse-114-3-basic-medicine-007","女性月經來潮（menstruation）時，子宮的那一層構造會剝落，造成月經出血？",7,3,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-106-1-basic-medicine-055","下列何者屬於 thromboxane A 2 的藥理作用？",55,106,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-107-2-basic-medicine-019","下列何者是以手電筒照射眼睛引起瞳孔反射的傳入神經？",19,107,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-108-2-basic-medicine-053","每天服用一次低劑量（80～120 mg）的阿斯匹林（aspirin），可降低動脈血栓發生的機率，此作用是抑制體內何種物質的生合成？",53,108,"2026-09-04",1788510753996]